| NPI | 1932119559 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TIMOTHY E TRAX Owner 419-473-2955 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: OH 1203) |
| Additional Taxonomies | 111N00000X Chiropractor (Licence: OH 1475) |
| Enumeration Date | 2006-08-08 |
| Last Update Date | 2013-02-25 |